The Effect of Dexmedetomidine on Motor Evoked Potentials During Pediatric Posterior Spinal Fusion Surgery: A Single Center Retrospective Analysis

Intraoperative neurophysiological monitoring has rapidly become a de facto standard of care for pediatric posterior spine fusion surgeries, but debate still surrounds the optimal anesthetic regime to facilitate monitoring. Recent publications have questioned whether Dexmedetomidine is compatible with MEP monitoring. We report our real-world experience and conclude that in moderation, as a part of a balanced anesthetic protocol, Dexmedetomidine is beneficial to the holistic care of the pediatric spine deformity patient.